Active NPI
James Joseph Traxel, DMD
- General Practice Dentistry
- Maysville, KY
National Provider Identifier
1942387030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4845
- Practice address
- 399 W Maple Leaf Rd
Maysville, KY 41056-9176 - Phone
- (606) 564-4371
- Fax
- (606) 564-4371
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4845 | KY | Primary |
Addresses
Primary practice location
399 W Maple Leaf Rd
Maysville, KY 41056-9176
Mailing address
399 W Maple Leaf Rd
Maysville, KY 41056-9176
Phone (606) 564-4371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60048451 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942387030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 W MAPLE LEAF RD",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410569176",
"telephone_number": "606-564-4371",
"fax_number": "606-564-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 W MAPLE LEAF RD",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410569176",
"telephone_number": "606-564-4371",
"fax_number": "606-564-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAXEL",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "4845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60048451",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maysville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.